JP6755791B2 - 多数の手術器具のシーリング - Google Patents

多数の手術器具のシーリング Download PDF

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Publication number
JP6755791B2
JP6755791B2 JP2016503060A JP2016503060A JP6755791B2 JP 6755791 B2 JP6755791 B2 JP 6755791B2 JP 2016503060 A JP2016503060 A JP 2016503060A JP 2016503060 A JP2016503060 A JP 2016503060A JP 6755791 B2 JP6755791 B2 JP 6755791B2
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Japan
Prior art keywords
seal
instrument
cannula
side wall
cruciform
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JP2016503060A
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English (en)
Japanese (ja)
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JP2016517330A (ja
JP2016517330A5 (enExample
Inventor
ギルバート アントーン ランブレッシュ，ブラン
ギルバート アントーン ランブレッシュ，ブラン
ジェイ パーク，ウィリアム
ジェイ パーク，ウィリアム
ディー ブラウン，ジェフリー
ディー ブラウン，ジェフリー
Original Assignee
インテュイティブ サージカル オペレーションズ， インコーポレイテッド
インテュイティブ サージカル オペレーションズ， インコーポレイテッド
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Application filed by インテュイティブ サージカル オペレーションズ， インコーポレイテッド, インテュイティブ サージカル オペレーションズ， インコーポレイテッド filed Critical インテュイティブ サージカル オペレーションズ， インコーポレイテッド
Priority claimed from US14/211,603 external-priority patent/US10492825B2/en
Priority claimed from US14/211,713 external-priority patent/US10292730B2/en
Priority claimed from US14/212,067 external-priority patent/US10070887B2/en
Priority claimed from US14/212,188 external-priority patent/US9888941B2/en
Priority claimed from US14/211,907 external-priority patent/US9629681B2/en
Publication of JP2016517330A publication Critical patent/JP2016517330A/ja
Publication of JP2016517330A5 publication Critical patent/JP2016517330A5/ja
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3498—Valves therefor, e.g. flapper valves, slide valves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B34/35—Surgical robots for telesurgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • A61B2017/3429—Access ports, e.g. toroid shape introducers for instruments or hands having a unitary compressible body, e.g. made of silicone or foam
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B2017/3445—Cannulas used as instrument channel for multiple instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
    • A61B2017/3464—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals with means acting on inner surface of valve or seal for expanding or protecting, e.g. inner pivoting fingers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
    • A61B2017/3466—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals for simultaneous sealing of multiple instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M2039/0036—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use characterised by a septum having particular features, e.g. having venting channels or being made from antimicrobial or self-lubricating elastomer
    • A61M2039/0063—Means for alignment of the septum, e.g. septum rim with alignment holes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M2039/0036—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use characterised by a septum having particular features, e.g. having venting channels or being made from antimicrobial or self-lubricating elastomer
    • A61M2039/0072—Means for increasing tightness of the septum, e.g. compression rings, special materials, special constructions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0264—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body with multiple inlets or multiple outlets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/027—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body having a particular valve, seal or septum
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0279—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for introducing medical instruments into the body, e.g. endoscope, surgical tools
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0288—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body protectors, caps or covers therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
    • A61M2039/0633—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof the seal being a passive seal made of a resilient material with or without an opening
    • A61M2039/064—Slit-valve
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
    • A61M2039/0633—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof the seal being a passive seal made of a resilient material with or without an opening
    • A61M2039/0646—Duckbill-valve

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Biophysics (AREA)
  • Robotics (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)
JP2016503060A 2013-03-15 2014-03-14 多数の手術器具のシーリング Active JP6755791B2 (ja)

Applications Claiming Priority (21)

Application Number Priority Date Filing Date Title
US201361801408P 2013-03-15 2013-03-15
US201361800632P 2013-03-15 2013-03-15
US201361801081P 2013-03-15 2013-03-15
US201361801728P 2013-03-15 2013-03-15
US201361801995P 2013-03-15 2013-03-15
US61/801,995 2013-03-15
US61/801,408 2013-03-15
US61/801,728 2013-03-15
US61/801,081 2013-03-15
US61/800,632 2013-03-15
US14/211,603 US10492825B2 (en) 2013-03-15 2014-03-14 Sealing multiple surgical instruments
US14/211,713 US10292730B2 (en) 2013-03-15 2014-03-14 Sealing multiple surgical instruments
US14/212,067 US10070887B2 (en) 2013-03-15 2014-03-14 Sealing multiple surgical instruments
PCT/US2014/029321 WO2014144771A1 (en) 2013-03-15 2014-03-14 Sealing multiple surgical instruments
US14/212,188 US9888941B2 (en) 2013-03-15 2014-03-14 Sealing multiple surgical instruments
US14/212,188 2014-03-14
US14/211,603 2014-03-14
US14/211,713 2014-03-14
US14/211,907 2014-03-14
US14/211,907 US9629681B2 (en) 2013-03-15 2014-03-14 Sealing multiple surgical instruments
US14/212,067 2014-03-14

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2018232342A Division JP6793710B2 (ja) 2013-03-15 2018-12-12 多数の手術器具のシーリング

Publications (3)

Publication Number Publication Date
JP2016517330A JP2016517330A (ja) 2016-06-16
JP2016517330A5 JP2016517330A5 (enExample) 2017-04-13
JP6755791B2 true JP6755791B2 (ja) 2020-09-16

Family

ID=51537785

Family Applications (4)

Application Number Title Priority Date Filing Date
JP2016503060A Active JP6755791B2 (ja) 2013-03-15 2014-03-14 多数の手術器具のシーリング
JP2018232342A Active JP6793710B2 (ja) 2013-03-15 2018-12-12 多数の手術器具のシーリング
JP2020159099A Active JP6950061B2 (ja) 2013-03-15 2020-09-23 多数の手術器具のシーリング
JP2021154075A Active JP7068536B2 (ja) 2013-03-15 2021-09-22 多数の手術器具のシーリング

Family Applications After (3)

Application Number Title Priority Date Filing Date
JP2018232342A Active JP6793710B2 (ja) 2013-03-15 2018-12-12 多数の手術器具のシーリング
JP2020159099A Active JP6950061B2 (ja) 2013-03-15 2020-09-23 多数の手術器具のシーリング
JP2021154075A Active JP7068536B2 (ja) 2013-03-15 2021-09-22 多数の手術器具のシーリング

Country Status (5)

Country Link
EP (2) EP3520853B1 (enExample)
JP (4) JP6755791B2 (enExample)
KR (4) KR102396090B1 (enExample)
CN (3) CN117426840A (enExample)
WO (1) WO2014144771A1 (enExample)

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US10070887B2 (en) 2013-03-15 2018-09-11 Intuitive Surgical Operations, Inc. Sealing multiple surgical instruments
US10492825B2 (en) 2013-03-15 2019-12-03 Intuitive Surgical Operations, Inc. Sealing multiple surgical instruments
US9629681B2 (en) 2013-03-15 2017-04-25 Intuitive Surgical Operations, Inc. Sealing multiple surgical instruments
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KR20220104060A (ko) 2022-07-25
KR20150125668A (ko) 2015-11-09
KR102396090B1 (ko) 2022-05-10
JP2021006265A (ja) 2021-01-21
CN111248981A (zh) 2020-06-09
KR102597833B1 (ko) 2023-11-06
WO2014144771A1 (en) 2014-09-18
KR20210093366A (ko) 2021-07-27
EP4238605A3 (en) 2023-10-18
CN105209106A (zh) 2015-12-30
KR20220153119A (ko) 2022-11-17
JP2021191542A (ja) 2021-12-16
EP2996757A4 (en) 2017-02-15
EP2996757A1 (en) 2016-03-23
CN105209106B (zh) 2020-03-20
EP3520853A1 (en) 2019-08-07
JP6793710B2 (ja) 2020-12-02
EP4238605A2 (en) 2023-09-06
EP3520853B1 (en) 2023-08-09
JP7068536B2 (ja) 2022-05-16
CN111248981B (zh) 2023-10-27
KR102465136B1 (ko) 2022-11-10
JP2019063562A (ja) 2019-04-25
EP2996757B1 (en) 2019-05-08
KR102419802B1 (ko) 2022-07-12
JP6950061B2 (ja) 2021-10-13

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